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Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Associate Director of Care Team Nursing assesses and evaluates member's needs ... wellbeing of members. The Associate Director of Care Team Nursing requires an in-depth understanding of .....
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky Description The ... Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..
... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive Director/Director of Operations. Participates in the ... of emergency. Acts as Branch..
Job Information Humana RN Telephonic Transplant Care Manager-WAH in Louisville Kentucky Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Manager, UM Nursing - Home Solutions UM Team ... Description The Manager, Utilization Management Nursing utilizes clinical and leadership skills ... Responsibilities The Manager of UM Nursing..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. The Utilization Management Behavioral Health Professional 2 ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Director, Health Services Nursing serves as the strategic leader ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director,..
Job Information Humana CenterWell - Nurse Practitioner - Louisville, KY(Churchill Downs) in Louisville Kentucky Description The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Louisville Kentucky Description The ... Louisville Kentucky Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..
Responsibilities Wellstone Regional Hospital is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area ..
Job Information Humana Nurse Practitioner in Louisville Kentucky Description The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse ..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... determinations. The Manager, Utilization Management Nursing works within specific guidelines and ... Responsibilities The Manager,..
